Waterford Outpatient Rehabilitation Clinic

NPI #1265522965 in Vancouver, Washington

Provider Information

NPI Number: 1265522965
Entity Type: Organization
Organization Name: Waterford Outpatient Rehabilitation Clinic
Primary Specialty: Physical Therapist
Enumeration Date: Oct 13, 2006
Last Updated: Sep 11, 2025

Practice Location

Address: 2911 SE VILLAGE LOOP
City: Vancouver
State: Washington
ZIP Code: 98683-8103
Phone: (360) 433-6346

Authorized Official

Name: MR. PATRICK R BERGIN, BS, NHA
Title: EXECUTIVE DIRECTOR
Phone: (360) 854-2866

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary
Physical Therapy Assistant	225200000X
Occupational Therapist	225X00000X
Speech-Language Pathologist	235Z00000X

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